Ethical principles and TBI Flashcards
Integrity - virtue
The capacity to act consistently on deeply-held personal values
Prudence - virtue
Prudence: The ability to act with discernment and to act in good faith
Trustworthiness - virtue
Trustworthiness: The capacity to act and to follow through on promises and commitments, even in the face of difficulty
compassion - virtue
Compassion: Deep concern for another’s welfare and empathy for their pain
respectfulness - virtue
Respectfulness: An attitude that recognizes others’ concerns and that commits the person to avoid actions that would diminish another’s rights or dignity
person first language
person centered care starts with use of person first language such as “individuals living with TBI”
humaneness
empathy, respect, warmth are ways for providers to build relationships with patient
communciation
communication patterns (verbal and nonverbal) should respect how the person wants to be treated
questions vs. directives
questions like can we help please? is better than a directive which does not empower a patient - questions provide choices
non judgmental approach
reflected in positive attitudes and in “no blame” caregiving
person centered care and issues of lack of insight
Frontal lobe injury impacts self-awareness
Anosognosia is defined as “inability to recognize deficits or problem circumstances caused by neurological injury”
Self-awareness is defined as “the capacity to perceive the ‘self’ in relatively ‘objective’ terms while maintaining a sense of objectivity”
Impaired self-awareness can exist at all points during the rehab process and can be permanent for some individuals
Importance of treatment - people who improve one level in self awareness are 30 times more likely to be in the successful treatment outcome group
primary goal for interdisciplinary approach to brain rehab
The entire team may collaborate on a specific goal
To maximize each individual’s cognitive, physical, and psychosocial ability while helping the individual to successfully respond emotionally to their specific life challenges
Rooted in a functional approach, this is the most common service delivery model for brain injury rehab
post acute brain injury rehab (PABIR)
For individuals who:
Need longer term intensive rehabilitation
Manifest hazardous behavior
Are unable to manage living independently
Lack adequate support while receiving outpatient therapy
Without this residential rehabilitation, iatrogenic behavior problems may emerge
extender model
Founded on the idea that maximizing contact with clinically skilled treatment providers will improve treatment outcome
Utilization of trained staff as extenders for therapeutic services
Extenders are trained in specific therapy skills and supervised by the professional staff member(s)
assistive technology for cognition (ATC)
One of the most notable advances in the compensation of cognitive issues in recent years
The integration of ATC is a practice standard for mild memory impairment and a practice guideline for moderate-severe memory impairment
Mainstream devices (calendars, smart phones, tablets) have great potential and should be part of the tools for most brain injury rehab programs
